Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184701310 Individual Practitioner Male Practitioner

Dr. Jon Carl Stanford , DDS

Dentist - General Practice • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. Jon Stanford, DDS is a registered healthcare professional specializing in Dentist - General Practice in Memphis, TN. Practice services are available at 3596 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3596 Park Ave

Memphis, TN 381115622

Telephone 9014582617

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN DS003629

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 23, 2014

Registered at 3596 PARK AVE, MEMPHIS, TN 381115622 (Tel: 9014582617)

📍
Updated Business Mailing Address October 23, 2014

Registered at 3596 PARK AVE, MEMPHIS, TN 381115622 (Tel: 9014582617)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as JON STANFORD, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Dentist (License #DS003629 in TN)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184701310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: October 23, 2014
Sole Proprietor: Yes

Mailing Address

3596 Park Ave

Memphis, TN 381115622

Phone: 9014582617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.